176419 08/19/2009 +ems CITY OF CARMEL, INDIANA VENDOR: 359233 Page 1 of 1
ONE CIVIC SQUARE SAFE KIDS WORLDWIDE
CARMEL, INDIANA 46032 CPS CERTIFICATION CHECK AMOUNT: $100.00
P O BOX 17594
c CHECK NUMBER: 176419
BALTIMORE MD 21297 -1594
CHECK DATE: 8/1912009
DEP ARTME NT v ACCOUN PO NUMBE INVO NUMBER AMO UNT DESCRIPTION
210 4357000 21051 60.00 TRAINING
210 4357000 547675 -08 -20 40.00 TRAINING SEMINARS
i Invoice ORO547675- 21051 -08 -09
SAFE KIDS WORLDWIDE
CPS Certification Program
1301 Pennsylvania Avenue, NW, Suite 1000
Washington, DC 20004 -1707
(202) 662 -0600
Purchase Order 21051 Invoice
Carmel Police Department
c/o Ann Gallagher
3 Civic Square i
Carmel, IN 46032
Service: CPS Technician Certification Training
Billing details available online. Please log in to view your current statement:
www.safekids.org /certification
Amount due: $60.00 Payment Due Upon Receipt
Invoice Date: 8/3/2009
REMIT TO ADDRESS
Safe Kids Worldwide
CPS Certification
P.O. Box 17594
Baltimore, MD 21297 -1594
Please include the invoice number with your payment to ensure it is applied promptly and appropriately.
Rev 12/842005
Invoice ORG547675 -08 -2009
SAFE KIDS WORLDWIDE
CPS Certification Program jF
1301 Pennsylvania Avenue, NW, Suite 1000 0
Washington, DC 20004 -1707 AW
(202) 662 -0600 d
E- Voucher Invoice 7/31/2009'"P;�
Carmel Police Department
c/o Ann Gallagher
3 Civic Square
Carmel,IN 46032
Service: CPS Technician Certification Training
Billing details available online. Please log in to view your current statement:
www.safekids.org /certification
Invoice Date: 8/3/2009
Summary for E- Voucher 548675
Statement Date: 7/31/2009
Maximum Credit: $1000.00
Available Credit: $960.00
Previous Balance: $0.00
Current Month Activity
Charges: $40.00
Refunds: $0.00
Payments: $0.00
Amount Due: $40.00
Payment Due Upon Receipt
REMIT TO ADDRESS
Safe Kids Worldwide
CPS Certification
P.O. Box 17594
Baltimore, MD 21297 -1594
Please include the invoice number with your payment to ensure it is applied promptly and appropriately.
Rev 121512005
INDIANA RETAIL TAX EXEMPT PAGE
f C�� CERTIFICATE NO. 003120155 002 0 v l PURCHASE ORDER NUMBER
ty Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 O K
3m1E CIVIC SQUARE THIS NUMBER MUST APPEAR 1NE CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, SHIPPING LABELS AND ANY CO
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Ju v 2009 training
VENDOR Safe Kids SHIP City Of Card Police Dppartment
c/o PES TO 3 Ciztc Square
475 Riverside Drive, 6th moor Carmel, IN 46032
New YOok, NY 10115
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Child Bassenger SafetyTechnician training for 60.00
Officer Wendy Bodenhorn on August 24 25 and
RaBoambat September 1, 2009 in Fishers, IN
p
s
n�
Send Invoice To:
City of Carmel Pol p i
ATTN: Teresa Anderso
3 Chic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
210 570 cunt eddfund PAYMENT
A1P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. y a te,
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY !Y t�
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
DOCUMENT CONTROL NO.
0 A. 1 COPY SIGN AND RETURN TO CLERK'S OFFICE
"VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which,charge is made were ordered and
received except___
20
Signature
Title
Cost distribution ledger classification if
clai€r paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Safe Kids Worldwide Purchase Order No. 21051F
CPS Certification
P.O. Box 17594 Terms
Baltimore, MD 21297-1594
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/31/09 RG547675 -08 2009 ayment for car seat technician recertification 40.00
for Officer Don Snow
8/3/09 RG547675021 51 -08 -09 payment for CPS technician certification and 60.00
training for Officer Wendy Bodenhorn
Total 100.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VQIJCHER NO. WARRANT NO.
ALLOWED 20
Safe Kids Worldwide
CPS Certification IN SUM OF
P.O. Box 17594
Baltimore, MD 21297 -1594
Q0W(XX 100.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
Po #_or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 O�R8�7175 570 40.00 bills) is (are) true and correct and that the
materials or services itemized thereon for
21051F 54767521051 570 60:00 which charge is made were ordered and
-08 -09 received except
August 13 20 09
Signature t If
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund